How to Talk to a Patient About a Condition

Rain odds and sclerodactically right or some evidence of skin loss of skin turgor distal to the MCP joints. Dry eyes dry mouth might be another kind of tip off or maybe show grins it gets back to a lot of the history and physical about what maybe what else might be out there. If you've got somebody who has rain-node symptoms and a strong positive A&A that may not per se relate to something from a systemic autoimmune standpoint they might have Hashimoto's or whatever. I think mixed connective tissue disease but that would make me want to get an A&A.